Documented procedures guide the administration of anesthesia.
a.
The procedure for
Administration of Anesthesia is: In order to achieve patient safety, the
Anesthetist is responsible for determine the procedure for administration of
anesthesia.
b.
Pre-anesthetic
evaluation of the patient: A pre-anesthesia evaluation allows for the
development of an anesthesia plan that considers all conditions and diseases of
the patient that may influence the safe outcome of the anesthesia.
c.
Prescribing of
anesthesia plan: The anesthesiologist is responsible for prescribing an
anesthesia plan aimed at safety of each patient. The anesthesiologist discusses
with the patient (when appropriate), the anesthesia risks, benefits and
alternatives.
d.
Pre Anesthesia
evaluation: An Anesthesiologist shall be responsible for determining the
medical status of the patient and developing a plan of anesthesia care. The
Anesthesiologist is responsible for: Reviewing the available medical record;
Interviewing and performing a focused examination of the patient to discuss the
medical history, including previous anesthetic experiences and medical therapy;
Assess those aspects of the patient’s physical condition that might affect
decisions regarding pre-operative risk and management; Prescribing and
reviewing of available tests and consultations as necessary for administration
of anesthesia care; Prescribing appropriate pre-operative medications.
e.
Anesthetist obtains
consent from the patient after briefing him/her about the advantages, dis-advantages
the risk involved.
f.
Intra Procedural
Monitoring: Immediate review prior to initiation of anesthetic procedures:
Patient re-evaluation; Check of equipment, drugs and gas supply; Monitoring of
the patient (e.g., recording of vital signs); Amounts of drugs and agents used,
and times of administration; The type and amounts of intravenous fluids used,
and times of administration; The technique(s) used; Unusual events during the
administration of anesthesia; The status of the patient at the conclusion of anesthesia.
g.
Post-surgery the
anaesthetist determines whether the patient can be sent out of OT or needs
enhanced level of care. Suitable record in the patient file is made.
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